04-101678 City of Federal Way
Community Development Services Electrical Permit #:04 - 101678 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph•253.661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: OLYMPIC VIEW ELEMENTARY SCHOOL
Project Address: 2626 SW 327TH 9r Parcel Number: 132103 9008
Project Description: Alter(10)circuits in conjunction with repair of fire damaged portion of structure.(per js-no review
required for repair only)
Owner Applicant Contractor
FEDERAL WAY SCHOOL DISTRICT SHEPPARD&NELSON ELECTRIC SHEPPARD&NELSON ELECTRIC
1066 S 320TH PO BOX 3630 PO BOX 3630
KENT WA 98032-0210 KENT WA 98032-0210
\FEDERAL WAY WA 98003 (206)878-7333
Electrical Fixtures
Description Quantity Description !Quantity Description Quantity
Circuits- Commercial 10
PERMIT EXPIRES November 1,2004.
Permit issued on May 5,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance 'th the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: (_(/ Date: If—
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RECEIVED �Y-la E 7IC
COMMUNITY DEVELOPMENT
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cm of 4111111.4..." 33530 FIRST WAY SOUTH•PG BOX 9718
FEDFederal Way AY 0 5 2004 PERMIT APPLICATION ,,,�W15.FA �A ',� ,7/d
253661-NILS•FAX 253.6611129
IPerOCicelheQ��Y OF .e. ; z
BULLING e i___________/_______
The ollowin• is .• fired in urination-an inco •fete • ..lication will not be acce•ted. Please • 'at le, • in or
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■ PROPERTY INFORMATION j.
SITE ADDRESS: 'D.-(p. ...g. S W 3 a 7 ri%3T- ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION(eg:Acme Estates,Lot 1)
(Attach separate page for lengthy legal descrptzon)
SQUARE FOOTAGE OF LOT:
• PROJECT INFORMATION
TYPE OF PERMIT(This application): a BUILDING a PLUMBING ❑ MECHANICAL 0 DEMOLITION
X ELECTRICAL a ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed des., '. :.n of ork included on this permit onlu4I
L, -P v' f' _e LH 0 '42 0 lr _ •,! — • • ;#Cu„ , f%t' . .
PROJECT NAME Name 0 Business/Owner Last N. `4�i„4,.... ✓..e.t& W'j
■ PEOPLE NFORMATION
PROPERTY NAME:
F-e- �� , A SIV,a PRIMARY PHONE:
OWNER: Y Sc t.°oL asrP-43' I (A5-311/5- - ”36
MAILING ADDRESS(STREET ADDRESSADDRESS* CITY,STATE,ZIP
t o Cod s 30-0 W- 1 F-4.04,..1- wy , (,4'/4- 7$003
CONTRACTOR NAME `^"n'NY OFFICE PHONE
Sh<.p p di.u 1 IC ga-SON ase.tM«. Ga t"," (;06)8 78 - 7333
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE:
P. o. (3ox 316.3o K e4, vv ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
C10 - 1_ 01 8 4 6 - 0 0 /xi 3 1 / oil (P06.)978 - 9807
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application) c on) 5. II E. L e 61 L 6- 5' Ick X. Q o 7/ 3 I / os--
LENDER:
5LENDER NAME:
DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;1: CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
MAILING ADDRESS(STREET ADDRESS(: CITY,STATE,ZIP EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMB ER:
❑ Architect ❑ T t ❑ Other(Describe). ( )
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner 'Contractor 0 Applicant EMAIL ADDRESS
■ DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES a NO
WATER SERVICE PROVIDER: a LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEwIIR SERVICE PROVIDER: a LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECSAIVICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS MOODS(Commercial( WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(o,Tub/ShowerCombo) SHOWERS WATER CLOSETS Iroacq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(amt....Sink VACUUM BREAKERS ELECTRIC WATER HEATERS
• DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my
knowledge,and further, that I am authorized by the owner of the above premises to perform the work for which the permit
application is made. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and
attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person, including the
undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city,
including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application_
NAME/TITLE: DATE: L/ /Y O 5/
(Signa ride)
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant )(Contractor 0 Architect ❑
FOR OFFICE,USONLY:'-
a NEW- a ADDITION ❑ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION: CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? wYES" a NO IIP/SEPA/SII? o YES a NO
PLATTED LOT? - a YES a NO DEMO PERMIT REQUIRED? a YES a NO
1. _ ;(. . Page
• DiA ' -4 CA' ." -3k'i 9' # -3ir f. a \-
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RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet: Service or Feeder Each Add'n
(First 1300 ft2-$87.00; Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00
{ (Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage 0 401 600 amp 256.50 103.00
(Inspected separately) $58.00 0 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) 0 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
O 401 -600 amp 161.00 80.00 0 Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY 0 0 to 200 amp $ 94.50
(Inspected separately from service) 0 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
0 201 -600 amp 117.50
o over 600 amp 177.00 tia i 0#of circuits to be added/altered � ,.yJ
(I-5 circuits-$74.00;Add'n circuits,$6.00/ea) _
O #of circuits tobe added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6-00/ea)
❑ Service over 200 amps
❑ Mast or meter repair $43.50 0 Medical/Educational/Institutional Facility _
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
t ❑ Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
❑ O- 100 $58.00 $51.00
MOBILE HOME/RV PARK
0 101 -200 74.00 51.00
❑ #of service or feeders ❑ 201 400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50)
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
t ❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Alarm System CI Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
0-voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s): 1•<2500 ft2-$51.00;
Each add'n 2500 ft2-13.50)•Per WAC 296-46.910(Sl(bh i&nl
1
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